| Robert D. Hazen D.d.s., P.c | |
|
460 S 400 E Bountiful UT 84010-4975 | |
| (801) 295-5586 | |
| Not Available |
| Full Name | Robert D. Hazen D.d.s., P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 460 S 400 E, Bountiful, Utah |
| Authorized Official Name and Position | Robert Dean Hazen (DENTIST) |
| Authorized Official Contact | 8012955586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D. Hazen D.d.s., P.c 460 S 400 E Bountiful UT 84010-4975 Ph: (801) 295-5586 | Robert D. Hazen D.d.s., P.c 460 S 400 E Bountiful UT 84010-4975 Ph: (801) 295-5586 |
| NPI Number | 1518089960 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518089960 | NPI | - | NPPES |
| 130257-9921 | Other | UT | STATE LICENSE INFORMATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 130257-9921 (Utah) | Primary |
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